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(I am diagnosed with PNH and recieved Eculizumab and now Ravulizumab, these symptoms startet after the first medication)

May 5
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A myPNHteam Member

Hey Juan, thank you so much for your thoughtful answer and for sharing your experience! Its very comforting to read that I am not the only person (although I obviously dont wish anyone to experience this!!, as you said, its very disstressing).
I told my doctors about this and they sended me to a kardiologist to check if my heart has any problems (which is luckily not the case). But they didnt really gave me any further explanations. I will definitly talk to my doctor specialised in PNH again at my next appointment in a few weeks.
Thank you for sharing that it occures for you after exerting during the day, I will observe if I can find a link for myself. Until now I couldnt really make any connection between my day and these occurring heart symptoms, but I just got diagnosed in the beginning of march, hence everything is kinda new to me.
All the best to you!

May 6
A myPNHteam Member

I think it's a terrible idea to use AI to answer such important and personal questions. There's a serious lack of personality and empathy behind this response, and I believe they should stop using AI to answer such serious questions.

May 6
A myPNHteam Member

Dear Lina, I'm not a doctor or an AI programmed to answer you, but I am a PNH patient who understands what you've been through. I've also experienced very similar situations to the ones you describe, and they are very distressing. It can feel like a classic panic attack, but these are PNH symptoms that then develop into an anxiety attack.
When something like this happened to me, I also felt short of breath and tried to lower my heart rate with deep breaths, which sometimes worked. If it led to sleep, I would have a very light, shallow sleep, and sometimes I would wake up short of breath.
In that case, it's advisable to tell your doctor so they can analyze your LDH levels and check your condition.

I've also noticed that these situations tend to occur when I've exerted myself during the day.
I hope you feel better soon. I wish you all the best.

May 6
myPNHteam

That sounds really unsettling, especially when it's happening at night. Heart racing and chest pressure are symptoms that others with PNH have reported, and there are a few PNH-related reasons these can occur.

With PNH, when red blood cells are destroyed, hemoglobin is released into the bloodstream. This hemoglobin binds Show Full Answer

That sounds really unsettling, especially when it's happening at night. Heart racing and chest pressure are symptoms that others with PNH have reported, and there are a few PNH-related reasons these can occur.

With PNH, when red blood cells are destroyed, hemoglobin is released into the bloodstream. This hemoglobin binds to nitric oxide — a chemical that normally helps relax muscles. When nitric oxide gets used up this way, muscle spasms can occur throughout the body, including in the chest and esophagus (the tube connecting your mouth and stomach).

Esophageal spasms in particular can cause:
- Intense squeezing chest pressure
- A sensation that can feel similar to a heart attack
- Difficulty swallowing, like something is stuck in your throat

These spasms, combined with the anxiety they naturally trigger, could explain the racing heart and panic-like feeling. It's also worth knowing that chest pain can sometimes be a sign of a blood clot, which is a serious risk with PNH. Blood clots are considered the most common cause of death in people with PNH, so this is not something to take lightly.

Please speak with your doctor about these symptoms as soon as possible. If the chest pressure is severe or comes with shortness of breath, seek emergency care right away.

Your care team may want to investigate whether hemolysis, muscle spasms, or something else is behind what you're experiencing — especially since the symptoms began after starting eculizumab.

May 5

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